Provider Demographics
NPI:1487830220
Name:HEALTH PLUS
Entity Type:Organization
Organization Name:HEALTH PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARSWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-841-7630
Mailing Address - Street 1:1636 HORSESHOE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-6295
Mailing Address - Country:US
Mailing Address - Phone:803-929-7660
Mailing Address - Fax:866-381-2302
Practice Address - Street 1:1636 HORSESHOE DRIVE
Practice Address - Street 2:SUITE 3
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-6295
Practice Address - Country:US
Practice Address - Phone:803-929-7660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20073484133968332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDE3090Medicaid
SC6098460001Medicare NSC